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Pelvic Health

Urinary Incontinence — Treatment in Maryland

Urinary leakage affects 1 in 3 women. Two main types — stress and urge incontinence — have distinct causes and treatments. Both are highly treatable.

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Common Signs & Symptoms

  • !Leakage with coughing, sneezing, or exercise (stress)
  • !Sudden strong urge to urinate with leakage (urge)
  • !Frequent urination > 8 times/day (urge/overactive bladder)
  • !Nocturia — waking to urinate at night
  • !Mixed symptoms in many women

What Causes This?

  • Stress: pelvic floor weakness from childbirth, menopause, or aging
  • Urge: overactive bladder muscle contractions
  • Mixed: both mechanisms combined

Treatment Approaches

Pelvic Floor PT

First-line — Kegel exercises and pelvic floor rehabilitation resolve many cases.

Bladder Training

Behavioral therapy — timed voiding and urge suppression techniques.

Medication

Anticholinergics and mirabegron for urge incontinence.

Midurethral Sling

Minimally invasive surgical procedure for stress incontinence — high success rate.

Frequently Asked Questions

Can urinary incontinence be cured?

Stress incontinence responds very well to surgical treatment (midurethral sling — >85% cure rate). Urge incontinence requires ongoing management.

Related Topics

Think This Could Be Your Issue?

A proper diagnosis is the first step. Schedule your consultation today.

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